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What Does My Semen Analysis Test Report Indicate?

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Posted on Sat, 20 Aug 2016
Question: My husband got his semen analysis done after taking paternia plus fro 3 months sperm count increased to 32.000 million
Motility progressive is 20%
Non Progressive is 20%
Immotile 60%
PUS cells 12-15
Red cell 2-4

Pls suggest to increase motility . we have been trying for child from 1 year. kindly help

pls need your suggestions and help
doctor
Answered by Dr. Dr. P. T. Patil (4 hours later)
Brief Answer:
You need to take antibiotic.

Detailed Answer:
Hello
Thanks for your query ,based on the facts and report of semen analysis that you have posted it appears that he has what is called as Oligoasthanozoospermia meaning there by that his his sperm count and percentage of active grade one motile sperms is lower than what is accepted range for normal effective fertilization to effect in to pregnancy .

The presence of 12-15 puss cells strongly suggests infection either in Seminal Vesicle or Prostate and needs to treated with appropriate antibiotics .

Get his semen culture done and take the appropriate antibiotics for 4-6 weeks .

Truly speaking there are no medications that can increase sperm count or sperm motility .However following measure will help you to increase sperm count and sperm motility to some extent .
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday
4) Avoid alcohol and smoking..

Repeat semen analysis after 6 weeks of treatment if the parameters of semen remain on lower side Consult qualified Infertility specialist for guidance and help as regards exploring possibility of conception with the help of newly assisted reproductive technique like IVF or ICSI,

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (17 hours later)
Cna you please suggest any medicine/antibiotic for the same. I would be very grateful for your help.

Also while giving sample his hands were not clean as he was driving bike and some dirt or something was in his hands so that might be the reason otherwise anything you can suggest to improve.
doctor
Answered by Dr. Dr. P. T. Patil (6 hours later)
Brief Answer:
Take Bactrim D.S twice daily for 4-6 weeks .

Detailed Answer:
Hello
Thanks for follow up .

Though his hands were not clean it hardly matters as semen does not come in contact with hands while collecting .

He can take combination of Sulphamethoxazole and Trimethoprim (Bactrin D.S.) twice daily for 4-6 weeks and repeat semen analysis after 6 weeks of treatment .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (3 days later)
Hello Doctor,

Thanks for your suggestions

He has got his semen analysis done from some other lab
sperm count 90 million
Motility: 30% immotile 30%
Pus cells 4-5

This was the fresh report,
doctor
Answered by Dr. Dr. P. T. Patil (6 hours later)
Brief Answer:
Recent Semen Analysis report still suggests infection .

Detailed Answer:
Hello
Thanks for follow up .
The report of semen analysis done at some other laboratory is contradictory to previous one .
I would suggest you to repeat it again after three days of abstinence at a renowned Infertility Laboratory where semen analysis is done by very sophisticated techniques by a trained experts.

The presence of 4-5 pus cells suggest infection and needs to take antibiotic suggested earlier .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (5 days later)
Please find attached the scrotal analysis of my husband for which I have been in touch with you.

Kindly suggest about the reports.
doctor
Answered by Dr. Dr. P. T. Patil (21 minutes later)
Brief Answer:
Scrotum Colour Doppler study revealed grade 3 Varicocele .

Detailed Answer:
Hello
Thanks for follow up .

The Scrotum Doppler study revealed grade 3 Varicocele which may be the cause for Oligospermia (Low Sperm count)

Getting surgery of Varicocelectomy does help in 30% of the patients to increase the sperm count .

Consult qualified Laproscopic Surgeon and get operated if you desire so .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (10 hours later)
Doctor is there any other treatment than surgery as I have read on net that there is no assurance that it will increase the rate of pregnancy.I am little worried for the cause as in some blogs it was mentioned that the surgery didn't helped the couple. Please suggest that is there any other medicinal treatment.
And also what basically is a Varicocele. And how its is effecting as we can't feel anything.He don't have any pains and discomfort

What is the cause of this.
Thanks in advance


Doctor I have been reading about fertility booster which help in case like ours and found fertileaid having good reviews and I thinking of giving it try
doctor
Answered by Dr. Dr. P. T. Patil (5 hours later)
Brief Answer:
Varicocele is Dilatation of spermatic veins .

Detailed Answer:
Hello
Thanks for follow up and asking good question .
I will briefly explain role of Varicocele played in Infertility .

Normally all the veins in lower extremities and testicles are provided with non returning valves which prevent column of blood to fall down in up right position .
During Varicocele or Varicose veins in legs (as you see in Rickshaw Pullers ) these non returning valves become in compitant resulting into blood to accumulate in these veins causing dilatation of tributaries of these veins what is called as Varicocele .The production of Sperms is controlled by a delicate balance between body temperature and atmospheric temperature .This balance is disturbed with Varicocele resulting into low sperm count .However there is no firm evidence to suggest this theory and so the results of the surgery for Varicocele are not guaranteed..It helps only in 30 % of cases and one has to take chance and be mentally prepared to accept the failure.

As regards the fertility boosters .I personally think it to be a pharmaceutical industry taking undue advantage of psychology of young couples and human mind who are desperate to have a child of their own.

Hope this will clarify your doubts and myths .

I will suggest you to consult qualified Infertility specialist for guidance and help .

If you have time please do write review about my comments and suggestions on the floor of Health Care Magic .

Thanks and Regards.
Dr.Patil.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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What Does My Semen Analysis Test Report Indicate?

Brief Answer: You need to take antibiotic. Detailed Answer: Hello Thanks for your query ,based on the facts and report of semen analysis that you have posted it appears that he has what is called as Oligoasthanozoospermia meaning there by that his his sperm count and percentage of active grade one motile sperms is lower than what is accepted range for normal effective fertilization to effect in to pregnancy . The presence of 12-15 puss cells strongly suggests infection either in Seminal Vesicle or Prostate and needs to treated with appropriate antibiotics . Get his semen culture done and take the appropriate antibiotics for 4-6 weeks . Truly speaking there are no medications that can increase sperm count or sperm motility .However following measure will help you to increase sperm count and sperm motility to some extent . 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday 4) Avoid alcohol and smoking.. Repeat semen analysis after 6 weeks of treatment if the parameters of semen remain on lower side Consult qualified Infertility specialist for guidance and help as regards exploring possibility of conception with the help of newly assisted reproductive technique like IVF or ICSI, Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you . Thanks and Regards. Dr.Patil.